Outcome Evaluation of the Veterans Affairs Salt Lake City Integrative Health Clinic for Chronic Pain and Stress-Related Depression, Anxiety, and Post-Traumatic Stress Disorder

Smeeding, Sandra J.W.; Bradshaw, David H.; Kumpfer, Karol L.; Trevithick, Susan; Stoddard, Gregory J.

doi:10.1089/acm.2009.0510

Cited by 40 publications

(23 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An integrated health clinic for chronic pain, stressrelated depression, anxiety, and PTSD in Salt Lake City, Utah, was designed for the nonpharmacological biopsychosocial management of chronic pain and PTSD using CAM and mind-body skills also focused on lifestyle concerns that affect health, such as obesity and tobacco use [92]. This program offers psychological, social, spiritual, and physical healthcare using CAM therapies.…”

Section: Discussionmentioning

confidence: 99%

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Gibson¹

2012

JRRD

View full text Add to dashboard Cite

Abstract-With the large number of Veterans experiencing posttraumatic stress disorder (PTSD) and chronic pain, the purpose of this article is to review the prevalence of PTSD and chronic pain, the theoretical models that explain the maintenance of both conditions, and the challenges faced by providers and families who care for these patients. The Department of Veterans Affairs (VA)/Department of Defense (DOD) VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress with special attention to chronic pain is presented. Limited scientific evidence supports specific care and treatment of PTSD and chronic pain, and this challenges providers to investigate and research potential treatment options. Integrated care models designed for working with these patients are reviewed, including a focus on the techniques and strategies to address not only PTSD and chronic pain, but other conditions, including substance dependence and depression. A specific focus on headaches, back pain, and neuropathic pain follows, including treatment recommendations such as pharmacological, psychotherapeutic, and complementary approaches, given the high rates of these pain complaints for Veterans in PTSD clinical programs. Integrated care is presented as a viable solution and approach that challenges clinicians and researchers to develop innovative, scientifically based therapeutics and treatments to enhance the recovery and quality of life for Veterans with PTSD and chronic pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Gibson¹

2012

JRRD

View full text Add to dashboard Cite

show abstract

“…Compared to patients with acute pain (< 3 months), those with chronic pain (>1 year) have significantly higher anxiety scores and less pain reduction at a one-year follow-up [40]. Moreover, improving clinical anxiety is accompanied by a parallel decrease in pain intensity [51]. Despite this well-documented clinical association between pain and anxiety, the underlying mechanism of their comorbid interaction remains to be elucidated.…”

Section: Introductionmentioning

confidence: 99%

Persistent nociception induces anxiety-like behavior in rodents: Role of endogenous neuropeptide S

Zhang

You

et al. 2014

Pain

View full text Add to dashboard Cite

Anxiety disorder is a comorbid condition of chronic pain. Analgesics and anxiolytics, subject to addiction and abuse, are currently used to manage pain and anxiety symptoms. However, the cellular mechanism underlying chronic pain and anxiety interaction remains to be elucidated. We report that persistent nociception following peripheral nerve injury induced anxiety-like behavior in rodents. Brain expression and release of neuropeptide S (NPS), a proposed endogenous anxiolytic peptide, was diminished in rodents with co-existing nociceptive and anxiety-like behaviors. Intracerebroventricular administration of exogenous NPS concurrently improved both nociceptive and anxiety-like behaviors. At the cellular level, NPS enhanced intra-amygdaloidal inhibitory transmission by increasing presynaptic GABA release from interneurons. These findings indicate that the interaction between nociceptive and anxiety-like behaviors in rodents may be regulated by the altered NPS-mediated intra-amygdaloidal GABAergic inhibition. The data suggest that enhancing the brain NPS function may be a new strategy to manage comorbid pain and anxiety.

show abstract

“…The VHA is embracing the concept of Integrative Medicine through the development of various programs that focus on engaging the mind, body, spirit, and community [56]. Smeeding et al [57] showed that mind-body skills and CAM therapies, including meditation, mindfulness, acupuncture, hypnosis, aquatic body-work and yoga in an integrative health clinic, is an effective program to improve chronic pain, anxiety (PTSD), depression, and health-related quality of life with both short-and long-term benefits. The PSC is currently collaborating with the Office of Patient Centered Care and Cultural Transformation in an initiative referred to as the PIMI, a feasibility study that incorporates Integrative Medicine concepts of holistic health, mind, body, spirit and conventional treatment modalities into polytrauma care.…”

Section: Psc Initiativesmentioning

confidence: 99%

Rehabilitation Care of Combat Related TBI: Veterans Health Administration Polytrauma System of Care

Eapen

Tapia

Johnson

et al. 2013

Curr Phys Med Rehabil Rep

View full text Add to dashboard Cite

The U.S. Veterans Health Administration established the Polytrauma System of Care (PSC) in response to the growing need for Traumatic Brain Injury (TBI) and polytrauma rehabilitation services for our returning war heroes. The unique and complex patterns of injuries sustained during the conflicts in Iraq and Afghanistan have resulted in significant physical, cognitive, and psychological impairments which require an extraordinary level of specialized training and skill provided by the PSC interdisciplinary team. The PSC offers a holistic, coordinated, and comprehensive continuum of polytrauma/brain injury rehabilitation. These services range from intensive inpatient rehabilitation to residential and outpatient programs designed to address all facets of combat injury. These services are available to Veterans and service members across the nation and have been involved in the direct care of tens of thousands of combat injured personnel. This article provides an overview of services and new initiatives created by the PSC to provide the best care for our Veterans and service members.

show abstract

Outcome Evaluation of the Veterans Affairs Salt Lake City Integrative Health Clinic for Chronic Pain and Stress-Related Depression, Anxiety, and Post-Traumatic Stress Disorder

Cited by 40 publications

References 12 publications

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Persistent nociception induces anxiety-like behavior in rodents: Role of endogenous neuropeptide S

Rehabilitation Care of Combat Related TBI: Veterans Health Administration Polytrauma System of Care

Contact Info

Product

Resources

About